Organization
ALEX M. PENTINO D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX MICHAEL PENTINO DDS (PRESIDENT)
(304) 266-3495
Entity
Organization
Contact information
Practice address
48258 NATIONAL RD, SAINT CLAIRSVILLE, OH 43950-9705
(740) 695-5700
(740) 695-5701
Mailing address
48258 NATIONAL RD, SAINT CLAIRSVILLE, OH 43950-9705
(740) 695-5700
(740) 695-5701
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063675791
PROVIDER NPI NUMBER
—
01
—
30-022756
DENTAL LICENSE NUMBER
OH
05
—
3001432
—
OH
01
—
3830
DENTAL LICENSE NUMBER
WV
Enumeration date
05/20/2022
Last updated
05/20/2022
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